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Which of the following types of information is not part of the patient information section on the UB-04 claim form?

a. Patient's date of birth.
b. Patient's insurance information.
c. Patient's social security number.
d. Patient's primary diagnosis.

1 Answer

2 votes

Final answer:

The 'Patient's primary diagnosis' is not part of the patient information section on the UB-04 claim form, as it belongs to a different section that covers medical details.

Step-by-step explanation:

The type of information that is not part of the patient information section on the UB-04 claim form is d. Patient's primary diagnosis. The UB-04 claim form is used by hospitals, nursing facilities, and other institutional providers to bill medical claims. Information included typically contains personal and insurance details such as the patient's date of birth, insurance information, and social security number. The primary diagnosis, however, is generally included in a separate section of the claim form dedicated to medical information, which details the patient's medical condition and treatment received.

User Mayur Ekbote
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